Individual provider Active NPI

Ashish Mahajan, M.D.

  • Interventional Cardiology Physician
  • Kettering, OH
National Provider Identifier
1114282647
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
37881 Issued in AL
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 384-6800
Fax
(937) 384-6938
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 37881 AL Primary

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

3535 Southern Blvd.
Kettering, OH 45429
Phone (937) 384-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190608000100 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436396306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3400 Hwy 78 E
Suite 215
Jasper, AL 35501-8950
Phone (205) 221-9494

Hospital & facility affiliations

  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Apr 1, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Apr 1, 2019 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

3400 Highway 78 E
Ste 215
Jasper, AL 35501
Phone (205) 221-9494

Interoperability endpoints

  • Direct secure messaging: amahajan65634@baptisthealthaldirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1114282647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD.",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "ASHISH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "37881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.